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Organization

NORTH WALES FAMILY CHIROPRACTIC, LLC

Active
Other names
PORTOLESE FAMILY CHIROPRACTIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMMY LYNN PORTOLESE D.C. (CHIROPRACTOR/OWNER)
(215) 361-6130
Entity
Organization

Contact information

Practice address
490 PENNBROOK PKWY, LANSDALE, PA 19446-3818
(215) 361-6130
(215) 361-7860
Mailing address
490 PENNBROOK PKWY, LANSDALE, PA 19446-3818
(215) 361-6130
(215) 361-7860

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007023L
PA

Other

Enumeration date
11/05/2008
Last updated
07/20/2010
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